Provider Demographics
NPI:1639227374
Name:GILL, VIKRAMJIT S (MD)
Entity Type:Individual
Prefix:DR
First Name:VIKRAMJIT
Middle Name:S
Last Name:GILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 TRENTON CT
Mailing Address - Street 2:
Mailing Address - City:SOUTH BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-9596
Mailing Address - Country:US
Mailing Address - Phone:304-906-5276
Mailing Address - Fax:
Practice Address - Street 1:125 PASTURE SIDE PL UNIT A
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6010
Practice Address - Country:US
Practice Address - Phone:301-208-8138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361245812084P0800X
DCMD0373672084S0012X
MDD00651912084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD419388100Medicaid
MDKL41P981Medicare PIN
MD419388100Medicaid